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Form and Schedules
The following forms are available for your convenience to download and complete prior to a visit to our office.

Patient Information Sheet
  This form is required prior to a first visit to our office or if there are any changes on the form of an established patient.  It also includes information on important office policies.

Treatment Authorization Sheet
  This form allows a parent or guardian to specify additional individuals that can bring their child to our office for treatment.

Release of Records
  Completing this form allows our office to request or release patient records with another physicians office.

Immunization-Physical Exam Schedule
  This informational schedule lists all immunizations and physicals recommended by the American Academy of Pediatrics.